Michon Tucker

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MICHON TUCKER

Practice address

10615 Perrin Beitel Rd Ste 400
San Antonio, TX 78217-3141

Phone

(210) 710-8087

Fax

(877) 475-2397

NPI assigned

Feb 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michon TuckerNPI 1346393071

Title

LPC-S

Phone

(210) 710-8087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michon Kristi Tucker, LPC-S

  • Professional Counselor
  • San Antonio, TX
  • NPI 1346393071
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1912760430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173141",
            "telephone_number": "210-710-8087",
            "fax_number": "877-475-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173141",
            "telephone_number": "210-710-8087",
            "fax_number": "877-475-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHON TUCKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MICHON",
        "authorized_official_title_or_position": "LPC-S",
        "authorized_official_telephone_number": "210-710-8087"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle P. Moran, PH.D.,P.a.
• Tiffany Michels
• Soad Michelsen, M.D.
• Erik Eugene Michener, DC
• David Clinton Michna, PT
• Kathleen Miciano
• Michele Annette Mick, PH.D.
• Krista Mickelsen, LMSW
• Rachel Ann Mickelsen, LPC, LCDC
• Benjamin J Mickens

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.